| Entity Name: | AKSHAYA BALAJI, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 May 2004 (21 years ago) |
| Document Number: | L04000040155 |
| FEI/EIN Number | 412139429 |
| Address: | 1900 N. Atlantic Ave.,, Daytona Beach, FL, 32118, US |
| Mail Address: | 1900 N. Atlantic Ave.,, Daytona Beach, FL, 32118, US |
| ZIP code: | 32118 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891817029 | 2007-04-06 | 2024-10-28 | 1900 N ATLANTIC AVE UNIT 1602, DAYTONA BEACH, FL, 321188312, US | 1900 N ATLANTIC AVE UNIT 1602, DAYTONA BEACH, FL, 321188312, US | |||||||||||||||||||||||||||
|
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| Phone | +1 407-650-0018 |
| Fax | 3213391949 |
| Phone | +1 407-285-5956 |
Authorized person
| Name | RAVI NAGARAJAN |
| Role | PRESIDENT |
| Phone | 4073601742 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 72472 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 254154800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NAGARAJAN RAVI | Agent | 1900 N. Atlantic Ave.,, Daytona Beach, FL, 32118 |
| Name | Role | Address |
|---|---|---|
| NAGARAJAN RAVI | Managing Member | 1900 N. Atlantic Ave.,, Daytona Beach, FL, 32118 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-28 | 1900 N. Atlantic Ave.,, 1602, Daytona Beach, FL 32118 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-28 | 1900 N. Atlantic Ave.,, 1602, Daytona Beach, FL 32118 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-28 | 1900 N. Atlantic Ave.,, 1602, Daytona Beach, FL 32118 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-23 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-17 |
| ANNUAL REPORT | 2015-04-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
